Universal API Implementation Guide
1.1.20 - ci-build
Universal API Implementation Guide - Local Development build (v1.1.20) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Profile: UAPI Bundle - Query Response Message
Bundle uapi-copay-update-response-3 of type message
Entry 1 - fullUrl = urn:uuid:76559729-e6ad-43d6-ab26-a98a4fe0a87b
Resource MessageHeader:
event: uapi-event-type copay-update-resp: Copay Update Response
Sources
Name Genentech-FHIR-DEV Responses
Identifier Code 1-63c61a26-4965b3a156f488da6e0800ed OK
Entry 2 - fullUrl = urn:uuid:f36738d7-c4bd-4f36-b842-cddd50800cc3
Resource Parameters:
Parameters
Entry 3 - fullUrl = urn:uuid:16ddbd62-396d-4f84-80db-0346ae44e995
Resource Patient:
Anonymous Patient (no stated gender), DoB Unknown ( Patient internal identifier: 8132413049 (use: usual, ))
Links: Contained Resource
Profile: UAPI Organization
identifier:
http://vendor.com/ab/HOSP-12345 (use: usual, )type: Healthcare Provider
name: Mid Atlantic Retina
contact
telecom: mar@example.com
address: 8 Ranoldo Terrace Cherry Hill NJ 08034 US
contact
name: Venus Yardav (Official)
telecom: ph: 8882704882(Work), fax: 8179974042(Work)
Entry 4 - fullUrl = urn:uuid:f8835064-7810-4d5a-b8cc-0a62aff991ef
Resource Bundle:
Profile: UAPI Bundle - Search Result
Bundle f8835064-7810-4d5a-b8cc-0a62aff991ef of type searchset
Entry 1 - fullUrl = urn:uuid:e344813d-eb60-466e-806b-ebd35c988293
Search:Mode = match
Resource ExplanationOfBenefit:
identifier:
http://connectiverx.com/enrollmentId/ad44f19a-42b6-ed11-827c-9e11af077484 (use: usual, )status: Cancelled
type: institutional
use: Predetermination
created: 2023-04-11 21:01:11+0000
outcome: error
Insurances
Focal Coverage false Bundle: identifier = http://connectiverx.com/requestId#86a42a99-663b-48b8-8fd9-c1afdbca5b98 (use: usual, ); type = message; timestamp = 2023-01-11 08:10:17-0500 Profile: UAPI Organization
identifier:
http://gene.com/ORG-00002 (use: usual, )type: Insurance Company
name: Copay Organization - CRX
Contacts
Telecom ph: 1800654332211(Work)
Severity Location Code Details Diagnostics Error Processing Failure Provided patient information does not meet minimum criteria for verification. Entry 2 - fullUrl = urn:uuid:e6e8d8c6-a074-4ea5-be1a-a67cb8628a85
Search:Mode = include
Resource Coverage:
Profile: UAPI Coverage
status: Cancelled
type: Pay
Classes
Type Value Name Plan Vabysmo-Drug Ophthalmology Co Pay program order: 1
network: Genentech
Profile: UAPI Organization
identifier:
http://gene.com/ORG-00002 (use: usual, )type: Insurance Company
name: Copay Organization - CRX
Contacts
Telecom ph: 1800654332211(Work) Entry 3 - fullUrl = urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1
Search:Mode = include
Resource Practitioner:
Profile: UAPI Practitioner
identifier: Provider number/1922071448 (use: official, ), Tax ID number/00000000 (use: official, ), National provider identifier/1639285034 (use: official, )
name: MARISSA CRUZ (Official)
Entry 5 - fullUrl = urn:uuid:743cfeb3-ed54-4887-ad84-73023ea3451a
Resource Bundle:
Profile: UAPI Bundle - Search Result
Bundle 743cfeb3-ed54-4887-ad84-73023ea3451a of type searchset
Entry 1 - fullUrl = urn:uuid:b4b2493c-f20d-4a83-849c-ebbd64ec2ff3
Search:Mode = match
Resource Task:
status: Requested
intent: Plan
code: Copay
for: Bundle: type = message; timestamp = 2023-03-11 08:10:13-0500
authoredOn: 2023-01-23 08:10:13-0500
Inputs
Type Value[x] brandId 9c2693fd-4eb2-4543-a26b-2c85a3450fe2